Individual provider Active NPI

Lori A Lyth-Frantz, PH.D

  • Psychologist
  • Bemus Point, NY
National Provider Identifier
1104800580
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
013911 Issued in NY
Practice address
3296 Cheney Dr
Bemus Point, NY 14712-9765
Phone
(716) 801-5944
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 013911 NY Primary

Addresses

Primary practice location

3296 Cheney Dr
Bemus Point, NY 14712-9765

Mailing address

3296 Cheney Dr
Bemus Point, NY 14712-9765
Phone (716) 801-5944

Other identifiers 3

IdentifierTypeStateIssuer
00026991501OtherNYUNIVERA HEALTHCARE
000590273001OtherNYWNY BLUECROSS/BLUE SHIELD
6190377OtherNYINDEPENDENT HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
013911NYMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1104800580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3296 CHENEY DR",
            "city": "BEMUS POINT",
            "state": "NY",
            "postal_code": "147129765",
            "telephone_number": "716-801-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3296 CHENEY DR",
            "city": "BEMUS POINT",
            "state": "NY",
            "postal_code": "147129765",
            "telephone_number": "716-801-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYTH-FRANTZ",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "013911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE",
            "identifier": "00026991501",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WNY BLUECROSS/BLUE SHIELD",
            "identifier": "000590273001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "6190377",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemus Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.